Pain management in the elderly surgical patient.
نویسندگان
چکیده
Rhode Island ranks sixth nationally in the percentage of elderly residents, with over 14.5% of the population over age 65;1 and the over 85 age group is the fastest growing portion of the population. Not surprisingly, the demand for healthcare services, including surgical interventions, will increase in the elder population. Surgical procedures no longer have age restrictions, as the demand for these interventions by the patients, and the success of modern surgical and anesthetic techniques have been demonstrated. Unfortunately, the pain associated with acute trauma and operative procedures is often inadequately managed.2 Several barriers have been identified to effective pain management in the elderly, including an external locus of control in many elderly patients, fear of opioid side effects on the part of patients and healthcare providers, and the difficulty assessing pain in the cognitively impaired patient.3 Inadequate postoperative pain control is a concern on several levels. In the current healthcare environment, adequate pain control is regarded as a patient right, not simply a comfort issue. As the healthcare consumer becomes more educated patient satisfaction becomes more of a driving issue, generating greater attention on perioperative pain management concerns. Furthermore, evidence suggests that inadequate analgesia may contribute to prolonged hospitalization in the elderly, increased complications, and poorer patient outcomes.4,5 In this review, we will draw attention to some of the difficulties encountered in caring for the elder patient experiencing acute pain, and offer insights into the evaluation and treatment of this problem.
منابع مشابه
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عنوان ژورنال:
- Medicine and health, Rhode Island
دوره 91 1 شماره
صفحات -
تاریخ انتشار 2008